ARNA - XI-AMARU TRIBAL GOVERNMENT = ABORIGINAL = JURIST = SERVICES =
Home
SERVICES
Contacts
CENSUS
LABOR DEPT.
Child Nationality Registration
*
Indicates required field
Name of Parent (National)
*
First
Last
Phone Number
*
Email
*
Street Address
*
City
*
County
*
State
*
Zip Code
*
NAME OF MOTHER OF CHILD
*
WHAT CITY WAS CHILD BORN IN?
*
COUNTY & STATE OF BIRTH
*
NAME OF FATHER OF CHILD
*
CHILD'S DAY OF BIRTH (EX. 00/00/0000)
*
HEIGHT AND WEIGHT APPROXIMATELY
*
CHILD'S SOCIAL SECURITY BOND # ON BACK OF CARD (PLACE ZEROS IF YOU DON'T KNOW OF REFUSE THIS INFO)
*
CHILD'S SOCIAL SECURITY NUMBER (PLACE ZEROS IF YOU REFUSE TO PROVIDE THIS INFO)
*
BIRTH CERTIFICATE NUMBER - STARTS WITH 3 DIGITS (PLACE ZEROS IF YOU REFUSE TO PROVIDE THIS INFO)
*
NAME OF ABORIGINAL JURIST WHO REFERRED YOU. ENTER DR. ALI IF NO JURIST REFERRED YOU.
*
FULL NAME OF MOTHER & BIRTHPLACE (COUNTY & STATE)
*
FULL NAME OF FATHER & BIRTHPLACE (COUNTY & STATE)
*
FULL NAME OF GRAND MOTHER & BIRTHPLACE ON MOTHERS SIDE (COUNTY & STATE)
*
FULL NAME OF GRAND MOTHER & BIRTHPLACE ON FATHERS SIDE (COUNTY & STATE)
*
FULL NAME OF GRAND FATHER & BIRTHPLACE ON MOTHERS SIDE (COUNTY & STATE)
*
MATERNAL GREAT GRAND MOTHER
*
FULL NAME OF GRAND FATHER & BIRTHPLACE ON FATHERS SIDE (COUNTY & STATE)
*
PATERNAL GREAT GRAND FATHER
*
CHILD'S FULL INDIGENOUS NAME YOU SELECTED
*
HOUR OF BIRTH
*
MOTHERS AGE AT TIME OF BIRTH
*
HOSPITAL OR HOME/NATURAL BIRTH
*
Home/Natural Birth
Hospital Birth
SEX: MALE OR FEMALE
*
Male
Female
FATHERS AGE AT TIME OF BIRTH
*
PARENTS COMMENT
*
UPLOAD PIC OF TRIBAL NATIONALITY CREDENTIALS
*
Max file size: 20MB
Please use a felt tip marker for your signature on a blank sheet of paper. Ink pens signatures are too thin and will not show on your ID Credentials. Thank you.
Submit and Pay Fee
Home
SERVICES
Contacts
CENSUS
LABOR DEPT.